Individual
MS. JILLYNN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7635 SE 42ND AVE, PORTLAND, OR 97206-8409
(503) 564-8642
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 564-8642
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
43200
CA
106H00000X
Marriage & Family Therapist
Primary
T1865
OR
221700000X
Art Therapist
C-10205587
OR
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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